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  1. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
    July 31, 2013 - Commentary Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Citation Text: Shiner D, Bock B, Simpson C, et al. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Crit Care Nurs Q. 2021;45(1):13-21. doi:10.1097/cn…

  2. COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. | PSNet

    psnet.ahrq.gov/issue/covid-19-hospital-outbreaks-protecting-healthcare-workers-protect-frail-patients-italian
    March 18, 2020 - Study COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. Citation Text: Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian ob…

  3. Errors, omissions, and outliers in hourly vital signs measurements in intensive care. | PSNet

    psnet.ahrq.gov/issue/errors-omissions-and-outliers-hourly-vital-signs-measurements-intensive-care
    June 20, 2011 - Study Errors, omissions, and outliers in hourly vital signs measurements in intensive care. Citation Text: Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. Copy Citatio…

  4. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
    January 01, 2018 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Facility Action Plan Template The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplis…

  5. Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
    July 29, 2020 - Study Classic Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. Citation Text: Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand …

  6. Outcomes of daytime procedures performed by attending surgeons after night work. | PSNet

    psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
    December 18, 2014 - Study Classic Outcomes of daytime procedures performed by attending surgeons after night work. Citation Text: Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work. N Engl J Med. 2015;373(9):84…

  7. Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic. | PSNet

    psnet.ahrq.gov/issue/finding-right-balance-evidence-informed-guidance-document-support-re-opening-canadian-nursing
    November 18, 2020 - Commentary Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic. Citation Text: Stall NM, Johnstone J, McGeer AJ, et al. Finding the right balan…

  8. Patients' perspectives of diagnostic error: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study
    February 10, 2012 - Study Patients' perspectives of diagnostic error: a qualitative study. Citation Text: Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. Copy Citation Forma…

  9. Findings of the first consensus conference on medical emergency teams. | PSNet

    psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
    August 04, 2021 - Commentary Findings of the first consensus conference on medical emergency teams. Citation Text: DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. Copy Ci…

  10. Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. | PSNet

    psnet.ahrq.gov/issue/influencing-organisational-culture-improve-hospital-performance-care-patients-acute
    February 21, 2018 - Study Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. Citation Text: Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital performance i…

  11. Racial inequality in receipt of medications for opioid use disorder. | PSNet

    psnet.ahrq.gov/issue/racial-inequality-receipt-medications-opioid-use-disorder
    April 24, 2018 - Study Racial inequality in receipt of medications for opioid use disorder. Citation Text: Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder. New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412. Copy Citation Fo…

  12. Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. | PSNet

    psnet.ahrq.gov/issue/comparison-quality-measures-us-hospitals-physician-vs-nonphysician-chief-executive-officers
    July 13, 2022 - Study Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. Citation Text: See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. JAMA Netw Open. 202…

  13. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. | PSNet

    psnet.ahrq.gov/issue/associations-physicians-prescribing-experience-work-hours-and-workload-prescription-errors
    July 21, 2021 - Study Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. Citation Text: Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform A…

  14. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. | PSNet

    psnet.ahrq.gov/issue/multicenter-study-evaluate-benefits-technology-assisted-workflow-iv-room-efficiency-costs-and
    July 14, 2009 - Study Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Citation Text: Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and …

  15. Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. | PSNet

    psnet.ahrq.gov/issue/patient-readmissions-emergency-visits-and-adverse-events-after-software-assisted-discharge
    November 16, 2022 - Study Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. Citation Text: Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted dischar…

  16. The Veterans Affairs root cause analysis system in action. | PSNet

    psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
    June 22, 2022 - Study Classic The Veterans Affairs root cause analysis system in action. Citation Text: Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.…

  17. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
    March 24, 2021 - Review Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Citation Text: Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Healt…

  18. Inadequate hand-off communication. | PSNet

    psnet.ahrq.gov/issue/inadequate-hand-communication
    April 02, 2015 - Sentinel Event Alerts Inadequate hand-off communication. Citation Text: Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

  19. Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. | PSNet

    psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
    September 23, 2020 - Study Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. Citation Text: Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41569/psn-pdf
    August 27, 2012 - An exploration of safety climate in nursing homes. August 27, 2012 Singer SJ, Kitch BT, Rao SR, et al. An exploration of safety climate in nursing homes. J Patient Saf. 2012;8(3):104-24. https://psnet.ahrq.gov/issue/exploration-safety-climate-nursing-homes This study reports on the initial findings of a novel surv…
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